I ran the autocheck, please PM me your e-mail address and I'll forward results to you. The car has been titled 3 times, all times it was a lien title.

Last title: 05/01/2009 AUSTIN, TX
Motor Vehicle Dept. REGISTRATION EVENT/RENEWAL

If you have a notarized note that she has received payment in full and is obligated to send you the title you might be OK. I've also heard that sometimes DMVs can mail the title directly to the out of state buyer.